The management of tumors in and adjacent to the skullbase is challenging given the complex and critically important anatomy of the region and the wide diversity of tumor pathologies that may be encountered. To help navigate the complexities of contemporary multidisciplinary management of these patients, Drs. Hanna and DeMonte bring you Comprehensiv

In recent years, interest in the management of anterior skull base tumors has been fostered by the introduction and subsequent rapid expansion of indications of transnasal endoscopic techniques. In parallel, extraordinary progress has been made in all the other disciplines which are involved in the complex process of managing anterior skull base tumors, leading to substantial improvements in diagnosis and treatment. The anterior skull base can be involved in a large variety of tumors of a varying nature and histology, which in the majority of cases originate from adjacent anatomic sites. In fact, primary lesions of the anterior skull base mainly include osteoma and other tumors originating from bone and cartilage. Tumors involving the anterior skull base have their origin prevalently in the sinonasal tract, but lesions developing on the intracranial site, such as meningiomas, may also extend caudally to encroach upon this area. All these lesions are rare, which means that the pertinent literature does not include prospective studies or treatment guidelines based on a high level of evidence. In view of the extreme histological variability of lesions involving the anterior skull base, much emphasis has been placed on addressing the different nuances of treatment in relation to histology, especially for malignant tumors. The chapters focusing on surgery provide divergent views on selection criteria for a specific surgical technique, which is the aim of this publication.

Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR - the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors - to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation Perspectives sections at the end of each chapter embrace the concept of diverse surgeon viewpoints on similar ideas, techniques, and approaches This exemplary book is essential reading for neurosurgery and otolaryngology residents, fellows, veteran practitioners, and allied health personnel who care for patients with skull base tumors. This book includes complimentary access to a digital copy on https://medone.thieme.com.

This book discusses all aspects of skull base surgery, from a neurosurgical point of view. The therapeutic options in the treatment of skull base lesions are explained and a systematic overview of relevant diseases is included. A strong emphasis is placed on practical aspects of skull base surgery: classic surgical approaches and also methods where there has been rapid recent development, such as stereotactic radiation therapy and interventional neuroradiology. Several international specialists systematically describe the treatment of traumatic lesions, tumors, vascular lesions, and developmental anomalies. Surgery of the Skull Base is aimed at neurosurgeons, ENT surgeons, maxillofacial surgeons, neurologists, and radiologists.

The first comprehensive guide dedicated to management of patients with pathologies in the sellar and parasellar region Focusing on the variety of pathological processes that arise in the sellar and parasellar regions of the central skull base, Sellar and Parasellar Tumors: Diagnosis, Treatments, and Outcomes is a state-of-the-art reference written by renowned leaders in the field. It takes a disease-oriented approach to complex pathologies. The work includes contributions by multispecialty teams and details technical advances and management options for all clinicians treating patients with parasellar and sellar pathology. Special Features: Represents the multidisciplinary management of these cases, with contributions from neurological surgeons, otolaryngologists, radiation oncologists, diagnostic radiologists, endocrinologists, and ophthalmologists Covers the many diverse tumor types found in the sellar and parasellar region,-including pituitary tumors, meningiomas, chordomas, and chondrosarcomas, with clinical management strategies for each Provides detailed, illustrated descriptions of optimal surgical approaches tailored to the patient and pathology, including transsphenoidal surgery, precise craniotomies using skull base techniques, minimally invasive eyebrow exposures, endoscopic anterior skull base techniques, and stereotactic radiosurgery Discusses the advantages and disadvantages of different surgical approaches, tips for complication avoidance, patient evaluation methods, surgical indications and outcomes, and more Includes comprehensive neuroanatomic dissections that provide visualization of the entire sellar and parasellar region Offers radiologic, medical, and ophthalmologic management techniques for patients with sellar and parasellar tumors Complete with full-color illustrations, high-quality radiographs, and instructive tables, Sellar and Parasellar Tumors is the authoritative reference for neurosurgeons, otolaryngologists, endocrinologists, neuro-ophthalmologists, radiation oncologists, and any other clinician who diagnoses, treats, and manages patients with these complex disorders. nbsp;

This book presents a complete step-by-step guide to endonasal endoscopic skull base surgery, written by prominent interdisciplinary specialists and reflecting important recent developments in the field. Combining the fundamentals of skull base anatomy and pathology with current diagnostic and interventional imaging techniques, Endonasal Endoscopic Surgery of Skull Base Tumors provides a solid clinical foundation for anyone working in this challenging and evolving specialty. Special features: State-of-the-art contributions from international experts in endonasal endoscopic skull base surgery A 360 panoramic assessment of skull base pathologies Description of basic and advanced endoscopic procedures based on the endonasal corridor system Current tumor-specific strategies, including indications and preoperative work-up, endoscopic surgical techniques, sequel and potential complications, postoperative care, outcomes, and pearls and pitfalls Clear and consistent interdisciplinary guidelines for managing the internal carotid artery in skull base surgery, allowing the removal of previously inoperable tumors Surgical outcomes from two of the leading international skull base centers, one in Fulda, Germany (formerly headed by Professor Draf), and one joint program at the University of Brescia and University of Varese, Italy Complete with 500 full-color photographs, anatomic illustrations, flowcharts and tables, Endonasal Endoscopic Surgery of Skull Base Tumors offers a practical management approach and sets a new standard in the field. It is invaluable for all otolaryngologists, head and neck surgeons, neurosurgeons, neuroradiologists, and pathologists who routinely make diagnostic and therapeutic decisions with regard to skull base lesions. It is also an essential text and reference for those who are learning how to perform endonasal endoscopic skull base surgery in a multidisciplinary environment.

Unique in the field, Intrinsic and Skull Base Tumors presents commonly encountered skull base and intrinsic neoplasm cases with side-by-side, case-by-case comparisons that clearly show how various experts would handle the same case. This inaugural volume in the Neurosurgery: Case Comparison Series offers multiple opinions from international experts in neurosurgery who provide various approaches and management styles for the same case. This format allows for quick and helpful comparisons of different ways to approach a lesion, advantages and disadvantages of each approach, and what each expert is looking for in how they would manage a particular case. - Offers 3 to 4 expert opinions on each case in a templated format designed to help you quickly make side-by-side comparisons—an ideal learning tool for both trainees and practicing neurosurgeons for board review and case preparation. - Helps you easily grasp different approaches to brain tumor management with different expert approaches to the same case and summaries from the editors on the advantages and disadvantages to each approach. - Features a wide variety of management decisions, from preoperative studies to surgical approach, surgical adjuncts, and postoperative care, from experts in the field who specialize in different aspects of neurosurgery. - Covers low and high grade gliomas, metastatic brain cancers, meningiomas, sellar and parasellar lesions, skull base lesions, and other brain lesions such as colloid cyst, cavernoma, hemangioblastoma, brain abscess, and more.